If you’re starting a GLP-1 medication like semaglutide or tirzepatide, you’ve probably asked:
When will I see results?
What should I expect in month one? Month three? Month six?
While every body responds differently, there are some common patterns in how weight loss, appetite, and side effects evolve over time. In this blog, we break it down by stage—so you know what’s normal, what’s worth celebrating, and when to reach out for support.
Month 1: Adjusting & Easing In
What’s happening:
This is the introductory phase. Most people start at a low dose (e.g., 0.25 mg for semaglutide) to help minimize side effects and allow the body to adjust.
What to expect:
- Mild nausea or fatigue
- Noticeable reduction in appetite
- Slower eating and feeling full faster
- 2–5 lbs of weight loss (often water + initial fat)
- Mood or energy fluctuations are normal as your eating patterns shift
Pro tip: Focus on hydration, light meals, and consistency with dosing. Weight loss may feel slow, but your body is making major internal changes.at room temp for a few weeks (check your specific prescription), but if unopened, they must stay cold.
Month 3: Momentum Phase
What’s happening:
Doses are typically increased gradually by this point, and your body is more adapted to the medication. This is when many people really start to notice progress.
What to expect:
- 10–20+ lbs of weight loss (depending on dose, habits, and starting point)
- More stable energy and fewer cravings
- Smaller portion sizes feel satisfying
- Improved digestion, less emotional eating
- Clothes fitting differently—even if the scale stalls
Pro tip: This is a great time to add movement and increase protein to preserve muscle while burning fat. It also helps reduce plateaus later.
Month 6: Transformation Stage
What’s happening:
By now, the medication has fully reshaped your hunger hormones, eating habits, and metabolism. You’re likely well into your weight loss journey—or entering maintenance mode.
What to expect:
- 15–30+ lbs lost for many patients
- Steadier, slower weight loss (and that’s okay!)
- Better relationship with food and body signals
- Non-scale victories: confidence, sleep, energy, digestion
- You may be considering dose adjustments or whether to stay on long term
Pro tip: Don’t panic if progress slows. This is a natural phase. Focus on consistency, strength, and habits—not just the number on the scale.
Final Thoughts
GLP-1s are powerful tools—but real change takes time. Expect shifts in appetite early on, steady fat loss by month three, and deep, lasting transformation around month six.
The more patient and prepared you are, the more sustainable your results will be.
Curious which GLP-1 program is right for you? Click here to compare trusted telehealth providers.